| Doctor Name: | DR. STEVEN J SUKSTORF |
| NPI Number: | 1043264419 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME47793 |
| Business Practice Address: | 908 Mar Walt Dr Fort Walton Beach, FL - 325476706 |
| Business Phone Number: | 8508629394 |
| Business Fax Number: | 8508628533 |
| Mailing Address: | 3480 Preston Ridge Rd Ste 600, Credentialing Dept ALPHARETTA |
| State: | GA |
| Postal Code: | 300055462 |
| Phone Number: | 7703000101 |
| Fax Number: | 7703000429 |
| NPI Enumeration Date: | 05/20/2006 |
| NPI Last Update Date: | 05/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085U0001X |
| License Number: | ME47793 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Ultrasound |
| Taxonomy Definition: | A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |